Individual
GAVIN LEE WINTERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1925 HAYES AVE, SANDUSKY, OH 44870-4737
(419) 557-5177
Mailing address
1925 HAYES AVE, SANDUSKY, OH 44870-4737
(419) 557-5177
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
C.2002685-TRNE
OH
Other
Enumeration date
08/26/2020
Last updated
10/07/2020
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